Farivar-Mohseni, Hesam

Farivar-Mohseni, Hesam is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Farivar-Mohseni, Hesam can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Stadium Drive Morgantown WV 26506
Fax: (304) 293-6963
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20816 West Virginia

Profile Details

NPI number 1255426649
LBN Legal business name Farivar-Mohseni, Hesam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255426649 NPPES
West Virginia MEDICAID 2003110000

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